[1]丁权威,应俊,赵瑛.超声引导下手法整复小夹板外固定治疗儿童肱骨近端骨折42例[J].中国中医骨伤科杂志,2025,33(11):85-88.[doi:10.20085/j.cnki.issn1005-0205.251116]
　DING Quanwei,YING Jun,ZHAO Ying.Ultrasound-Guided Manual Reduction and External Fixation with a Small Splint for the Treatment of 42 Cases of Proximal Humeral Fractures in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(11):85-88.[doi:10.20085/j.cnki.issn1005-0205.251116]
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超声引导下手法整复小夹板外固定治疗儿童肱骨近端骨折42例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年11期
页码:
85-88
栏目:
临床报道
出版日期:
2025-11-15

文章信息/Info

Title:
Ultrasound-Guided Manual Reduction and External Fixation with a Small Splint for the Treatment of 42 Cases of Proximal Humeral Fractures in Children
文章编号:
1005-0205(2025)11-0085-04
作者:
丁权威1; 应俊2; 赵瑛1
1杭州市富阳中医骨伤医院(杭州,311400)
Author(s):
DING Quanwei1; YING Jun2; ZHAO Ying1
1Hangzhou Fuyang Hospital of Traditional Chinese Medicine Orthopedics and Traumatology,Hangzhou 311400,China; 2Zhejiang Chinese Medical University,Hangzhou 310053,China.
关键词:
肱骨近端骨折;  儿童;  手法整复;  夹板;  肌骨超声
Keywords:
proximal humeral fractures;  children;  manipulative restoration;  splint;  musculoskeletal ultrasound
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.251116
文献标志码:
B
摘要:
目的:探讨超声引导下手法整复小夹板外固定治疗大龄儿童Neer-Horwitz Ⅲ/Ⅳ型肱骨近端骨折的临床疗效。方法:回顾性分析2023年6月至2024 年12月本院收治的42例大龄儿童Neer-Horwitz Ⅲ/Ⅳ型肱骨近端骨折的临床疗效。其中男28例,女14例; 年龄为10～14岁,平均年龄为11.8岁。治疗均采用超声引导下手法整复,整复完成后再次进行超声检查骨折复位质量,结束后予以杉树皮小夹板外固定。结果:41例患者闭合复位成功,1例患者复位困难后转手术治疗,闭合复位成功率为97.6%。所有患者均无神经血管损伤等相关并发症。闭合复位成功的41例患者,术后X线或CT复查,骨折对位对线良好; 术后3个月随访,复查X线片示骨折愈合良好,无肱骨近端畸形愈合,术后肩关节功能良好。骨折愈合时间为4～8周,平均为6.2周。结论:超声引导下手法整复可以明显提高大龄儿童Neer-Horwitz Ⅲ/Ⅳ型肱骨近端骨折手法复位成功率,减少患者辐射及不良结局,值得推广应用。
Abstract:
Objective:To explore the clinical efficacy of ultrasound-guided manual reduction combined with a small splint in the treatment of Neer-Horwitz type Ⅲ and Ⅳ proximal humeral fractures in older children.Methods:A retrospective analysis was conducted on the clinical data of 42 elder children with Neer-Horwitz type Ⅲ and Ⅳ proximal humeral fractures from June 2023 to December 2024.Among them,there were 28 males and 14 females,aged 1014 years old,with an average age of 11.8 years old.All the treatments adopted manual reduction under ultrasound guidance.After the reduction was completed,ultrasound examination was conducted again to check the quality of fracture reduction.After the end,external fixation with a small fir bark splint was given.Results:Closed reduction was successful in 41 patients.One patient was transferred to surgical treatment after difficulty in reduction,and the success rate of closed reduction was 97.6%.None of the patients had related complications such as neurovascular injury.Among the 41 patients with successful closed reduction,the postoperative X-ray or CT reexamination showed good fracture alignment and alignment.During the 3-month follow-up after the operation,the reexamination of X-ray films revealed good fracture healing,no proximal humeral malunion,and good shoulder joint function after the operation.The healing time of fractures was 48 weeks,with an average of 6.2 weeks.Conclusion:Ultrasound-guided manual reduction can effectively increase the success rate of manual reduction for Neer-Horwitz type Ⅲ and Ⅳ proximal humeral fractures in older children,reduce radiation and adverse outcomes in patients,and is worthy of promotion.

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(收稿日期:2025-05-04)

备注/Memo

备注/Memo:
基金项目:杭州市医药卫生科技项目(B20241917)
浙江省自然科学基金项目(LQ22H270003)
2浙江中医药大学
更新日期/Last Update: 2025-11-15